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NPI Code Detail

MEDICARE: MR. JOHN HIRST

MEDICARE:  MR. JOHN  HIRST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1801451828
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN HIRST
Provider Business Mailing Address
First Line : 3600 SAN JERONIMO DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-2870
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3149 MOUNTAIN VIEW DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-3106
Country : US
Telephone Number : 907-793-3629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2019
Last Update Date : 05/06/2019

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Directions to “ MR. JOHN HIRST ” Practice Location

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